The Air We Breathe and Its Secret Path To The Brain

Previous research had shown a correlation between increased pollution and Alzheimer’s disease; between developing brains exposed to air pollution and mental health; and a link between air pollution and cognitive function in older men. Researchers are increasingly looking at these links and gathering evidence on yet another health effect of the polluted air we are exposed to.

The olfactory system is a direct route for small particles into the brain, especially those small enough to escape through the olfactory bulb. We have recently talked about the link between air pollution and strokes, now a new research from Lancaster University published by the Proceedings of the National Academy of Science has found evidence of toxic nano-particles, which come from air pollution, in human brains and has led to a rich discussion on the possible link between air pollution and Alzheimer’s disease.

In this most recent research, which examined brain tissue from 37 persons from Mexico and Manchester (UK), toxic nano-particles from air pollution -particularly magnetite, have been found in the human brain along with platinum, cobalt and nickel. According to the researchers, the shape and the type of metal indicates that it can only have come from air pollution. Accumulation of metals in the brain is characteristic in Alzheimer’s disease and especially magnetite, which has been previously associated with brain damage in patients with such ailment.

Many scientists have commented on the research results and although it is undisputed that the metal nano-particles in the brain do come from air pollution, many consider that this is not proof that there is a link between air pollution and Alzheimer disease.

Nonetheless, the study explains how the route of these nano-particles into the brain is through the olfactory system. Those particles that are small enough to pass through the olfactory bulb to the brain can lodge in the brain, cortex, hippotalamus and many others almost without barriers. Particles that lodge deep in your lungs can be very damaging because they create inflammation, infection, cancer or go directly to the bloodstream to cause trouble in other parts of the body. However, particles that enter through the olfactory system can be even more damaging because they have direct entrance to the brain where they can damage or kill neurons or even hamper the bains’ immune system.

In fact, both the Alzheimer’s and Parkinsons disease present a loss of the olfactory system capacities very early on. For this reason, many recent studies look at those particles that can be inhaled and have a direct pathway to our brains. One in every 14 persons above 65 suffer from Alzheimer’s diseases.

September is the World Alzheimer’s month, we cannot ascertain that air pollution is linked to Alzheimer, but we can raise awareness on the direct route for nano-particles into our brain.

Protect yourself and your family from air pollution!

Sources:

Healthy TIPS: With a little help from Vitamin B

In a previous blog-post we talked about protecting our health from within and stressed the need to consume vitamin C, E, Beta-carotene and Omega3 which boosts our body’s anti-inflammatory and antioxidant capacity. Research published in the Pharmaceutical Journal is now including Vitamin B in the realm of our must-have nutrients to fight health consequences from air pollution.

Vitamin B essentials

Our bodies need Vitamin B for producing energy through food, growth and cell division, as well as for the proper functioning of the nervous system, arteries, heart and brain. These vitamins can be found in foods such as meats, whole grains, vegetables and nuts – and especially in chickpeas, beef liver, yellowfin tuna, salmon, chicken breast, potatoes and bananas. We need to maintain a good intake of these foods at the same time as facilitating its absorption by decreasing alcohol, coffee and tea consumption. The vitamin B group includes a range of vitamins but the most essential are B12, B6 and Folic acid

Vitamin B and air pollution

Studies had first found that persons with low vitamin B6 and B12 were particularly susceptible to the adverse health effects of air pollution. Now, scientists from the Mailman School of Public Health from Columbia University looked at the possible effect of vitamin B in minimising DNA damage. The study sample size is very small but it is being conducted on people and compares DNA changes in people exposed to PM2.5 against those who were not exposed. And then compares the protective effect of Vitamin B6, B12 and Folic acid (B9).

Dr Jia Zhong from Harvard School of Public Health led the study and found that although the results from such a small sample cannot be conclusive, they do show DNA damage from exposure to PM2.5 and a protective effect from Vitamin B even when the individual is exposed to PM2.5. The sample was small and the vitamin dose used was very high, but the relevance of this finding is that more research can be done to further to understand the correct dosage and if this effect is also experienced among people who are under chronic exposure to air pollution.

As a preventive measure we can make sure we have good vitamin B intake to help our bodies protect us from air pollution

Sources:
Mayo Clinic – Vitamin B6
Live Sciences – Sources and Benefits
PNAS – B vitamins attenuate the epigenetic effects of ambient fine particles in a pilot human intervention trial
The Pharmaceutical Journal – Vitamin B may help reduce impact of air pollution on health

School’s Indoor Air Quality

How often do we think about the air quality in our children’s school, where they spend almost a third of their day?

In cities with poor outdoor air quality, schools usually limit outdoor physical education and break time according to local outdoor air quality readings. But what about the quality of the indoor air?

Let’s think about it for a moment!

Studies have shown that poor air quality in schools increase absenteeism, decrease test scores and compromise staff and student productivity.

When we think of academic excellence we’ll seldom think of structural and maintenance practices that can provide the optimal environment for teachers and students to thrive. Nonetheless, leaky roofs, poor heating, ventilating and air conditioning systems (HVAC), inappropriate use of cleaning products among others can make a difference in academic excellence.

In fact, poor indoor air quality can cause asthma, respiratory infections and allergic diseases which start a spiral of effects from school absenteeism to poor performance.

What is the impact of indoor air quality in schools?

Asthma, respiratory infections and allergic diseases are commonly caused or exacerbated by moisture in HVAC system, microbiological pollutants, animal allergens, nitrogen dioxide or other combustion byproducts, chemicals in cleaning products, low ventilation, formaldehyde, dampness, mold, outdoor pollutants or vehicle exhaust.

Asthma for example is suffered by millions across the world – approximately 1 in every 10 children!  And it is the main reason students skip school in the US. Asthma can be controlled with medications after it occurs but a great deal can be done before it occurs by controlling the environmental triggers, especially in closed environments like schools.

For optimal indoor air quality in schools, we need to:

Sources:
US EPA (United States Environmental Protection Agency) – Printable Version of the Coordinator’s Guide for Indoor Air Quality
US EPA (United States Environmental Protection Agency) – Indoor Air Quality in High Performance Schools
US EPA (United States Environmental Protection Agency) – Managing Asthma in the School Environment

Is Air Pollution Changing our Gut Microbiota?

It may seem a far cry, but scientists have been studying the effects of particulate matter (PM) in our intestines, gut microbiota (previously referred to as gut flora) and its relation to the sharp increase of Inflammatory Bowel Diseases (IBD). There is not an overwhelming amount of research, but certainly for more than a decade institutes in several countries have researched the possible link between exposure to air pollutants and various parts of our digestive system.

These studies show why being careful about what we eat and drink can take us a long way in protecting our gut microbiota from air pollution. In fact, hereditary genes may explain only a fraction of the IBD and scientists have in the past two decades seen that environmental factors are important contributors to these diseases.

But how does PM reach our bowel/intestines?

Well, researchers have observed that there are two primary ways: first the lungs clear part of air pollutants through a process called ‘mucocialiary clearance’ towards the intestines; and second we ingest it through our water and food.

And what is the effect of PM in our bowel?

Scientists in this field suggest that air pollutants cause systemic inflammation and change of the intestinal microbiota. Research has shown correlation between air pollution and IBD but scientists call for caution in the interpretation of these results due to methodological weaknesses and suggest more research should be done. However,

“If this connection is found to be true, this could have important implications for public health since intestinal diseases are relatively common and cause significant morbidity and mortality in addition to their economic impacts. Understanding how pollution contributes to intestinal disease will identify potential interventions or help advocate for patients by reducing exposures to dangerous materials.” say Leigh A. Beamish, Alvaro R. Osornio-Vargas and Eytan Wine in their 2011 publication in the Journal of Crohns and Colitis.

More recently (2015), scientists from Canada published an article on how microbiota can be modified by air pollution and last moth a group of researchers also published an article on PM and its effect on gut microbiota and the link to cholesterol. Overall, there is increasing knowledge of the importance of maintaining a healthy gut microbiota as a protection against diabetes, obesity, metabolic disorders and IBD. Scientists have shown that air pollution affects both the composition and the function of microbiota. They concluded:

“Together, our study in IL-10−/− mice, in conjunction with previous experimental and epidemiological observations, strongly suggests that ingested particulate matter could trigger and accelerate the development of gastrointestinal inflammatory diseases” Salim, Kaplan and Madsen from the University of Alberta and Calgary.

As individuals, let’s start now to protect ourselves. We can eat organic, we can have a specific vegetable and fruit cleansing routine, we can filter our water. Let’s start minimizing our ingested air pollution to take care of our gut microbiota!

Sources:

NIH – Air pollution effects on the gut microbiota: a link between exposure and inflammatory disease

Nature – Ambient Ultrafine Particle Ingestion Alters Gut Microbiota in Association with Increased Atherogenic Lipid Metabolites

Trying to sleep but you cannot?

Sleep is not the first thought we have when thinking about the effects of air pollution.

A study conducted by Dr. Martha E. Billings, assistant professor of medicine at the University of Washington was presented in May at the American Thoracic Society International Conference. The study shows that air pollution affects sleep quality.

“Prior studies have shown that air pollution impacts heart health and affects breathing and lung function, but less is known about whether air pollution affects sleep,” said lead author Martha E. Billings “We thought an effect was likely given that air pollution causes upper airway irritation, swelling and congestion, and may also affect the central nervous system and brain areas that control breathing patterns and sleep.”

The study conducted showed that both PM2.5 and nitrogen dioxide are linked with poor sleep quality. The higher PM2.5 concentration leads to 50% odds of having poor sleep. Similarly, high levels of nitrogen dioxide increased by 60% the chances of experiencing poor sleep. 

Exactly why, is yet to be studied, but air pollution irritates nose, sinuses and back of throat which affects breathing and ultimately may have an impact on sleep quality. Also, air pollutants can enter the blood and can potentially have an effect on the brain and its breathing regulation capacities, therefore disrupting sleep.

“These new findings indicate the possibility that commonly experienced levels of air pollution not only affect heart and lung disease, but also sleep quality. Improving air quality may be one way to enhance sleep health and perhaps reduce health disparities,” Dr. Billings said

Sleep problems are common everywhere and on the increase. The use of multiple aids to sleep is increasing. This study shows how important it is to look at our environment, know the quality of our indoor and outdoor air and take measures to improve it. Improving air quality in our indoor space may go a long way in helping us having better sleep quality!

Monitor air quality!

Sources:
Neuroscience News
AMERICAN THORACIC SOCIETY – Air Pollution May Disrupt Sleep
Newsweek – Trouble Sleeping? Air Pollution May Be to Blame, Study Says
The Guardian – Air pollution linked to poor sleep, study finds

ASTHMATIC? Air pollution might be making it worse

Today, 235 million people across the world suffer from asthma. Indoor and outdoor pollution can trigger asthma attacks and make symptoms worse.

It is well documented that air pollution can trigger asthmatic reactions in people who are already diagnosed with asthma. The role of air pollution in people developing asthma is less understood. Nonetheless, research funded by the US Air Resources Board has shown that children living in communities with higher ozone levels and/or living closer to busy roads are more likely to develop asthma.

 Asthma: a chronic disease of the lungs. The airways narrow, swell and produce more mucus. Which makes breathing difficult and trigger coughing, wheezing and shortness of breath.

Asthma is rarely fatal but causes sleepless nights, fatigue, reduced physical capacity as well as school and work absenteeism. The use of medication is important, but management of asthma triggers is essential to deal with this chronic disease and to enjoy a good quality of life and overcome the economic burden.

Indoor and outdoor air pollution can trigger asthma attacks and make symptoms worse because air pollution irritates the lungs and airways. Exposure to long-term air pollution in high concentrations can trigger asthma in both children and adults. A research study showed that people with moderate to severe asthma were 40% more likely to have an acute asthma episode on high pollution days. Moreover, research suggests that if your exposure happens during pregnancy your baby could be more likely to develop asthma because particulates can cross through the placenta to the developing baby. According to the US Center for Disease Control (CDC) asthma is primarily affected by ozone (smog) and particle pollution (haze, dust or smoke).

Ozone is a gas and contributes to ‘smog’, mostly present in urban areas where there are more cars and in the summer when sunlight increases. Ozone triggers asthma, it irritates the lungs and airways and reduces their function making it more difficult for a person to breathe deeply. It has been directly related to increased asthma attacks, increased asthma related emergencies and increased need for asthma treatment. Small particles are emitted into the air from industrial activity and energy production and can reduce lung function and increase asthma attacks. Moreover, 60% of people with asthma have allergic asthma, which means that allergens such as dust, pollen and pets can  trigger inflammation of the airways and create an asthma attack. As a result of increased exposure to pollution, your airways can be more sensitive to allergens.

In Asia, it is estimated that less than 5% of adults suffer from asthma; and data about elderly asthma is not homogenous across the region, it ranges between 1.3 and 15.3% (5). A recent literature review on this subject showed that asthma was increasing with age in Asia, particularly in Korea, Japan, China, Hong Kong, Mongolia, Iran, India and Bangladesh.

Controlling asthma as well as the triggers that cause it to arise or get worse is important to lead a good quality life and also to reduce its economic burden. Asthma has direct costs in inhalers and medications and has indirect costs from the negative impact of productivity which can be as large as the direct costs. In addition, research showed asthma affects not only work absenteeism but also “presenteeism” (individual loss of function when at work). A study in the US in 2007 estimated that the total cost of asthma to society was USD 56 billion (USD3,259 per person). A separate research in Asia-Pacific estimated that indirect and direct costs ranged from USD184 in Vietnam to USD1,189 in Hong Kong.

HOT TIPS FOR ASTHMATICS

Simple tips to know if air pollution is triggering your asthma attacks:

  • Keep a symptom diary and note daily activities and pollution levels. This will help you see patterns of symptoms linked to pollution levels.
  • When pollution is high and even 24h after you might notice:
    1. Increased sensitivity to other asthma triggers,  
    2. Symptoms are worse and harder to control,
    3. You are using your inhaler more.

Some tips on how to reduce asthma attacks triggered by pollution:

  • Know when and where pollution is bad and plan outdoor activities when or where pollution levels are lower.
  • Limit outside activities and outdoor physical exercise on high pollution days or in high pollution areas.
  • If you do go out, do it earlier in the day before pollution kicks in and stick to back streets, with less traffic.
  • Ensure your indoor air is clean and is not contaminated by outdoor air pollution. Avoid rush hours so that the quality of the air in your car can easily be controlled.
  • Avoid the smoke from barbecues and bonfires.
  • Note that the use of face masks may not make a difference to your asthma symptoms and can actually make breathing feel more difficult.

Sources:

AsthmaUK – Air Pollution and Asthma

Asthma and Allergy Foundation of America – Air Pollution

NIH – Epidemiology of Adult Asthma in Asi

Let’s help our body fight pollution: 4 nutrients not to miss!

Worried about air pollution? Wondering what else could be done? Today’s tip is on optimal nutrition to help your body fight air pollution. Research has shown that the health effects of air pollution are caused because the body has an inflammatory response that overtime degenerates into disease.

“Recent research has highlighted the potential of targeted nutrition to combat the decreased antioxidant capability, respiratory inflammation and neurological symptoms associated with certain pollutants.” explains Dr Daniel Raederstorff, principal scientist, DSM.

Infact good nutrition is the key to empower our body to moderate that inflammatory response. There are a number of studies that pinpoint micronutrients that increase protection from air pollution through increasing antioxidant functions and reducing inflammatory reactions. These are Vitamin C and E, Beta-Carotene and Omega 3. In addition, studies have found specifically that persons with low B6 and B12 have higher susceptibility to the effects of air pollution.

“Nowdays diets are characterized by an increasing intake of prepackaged foods. This dietary pattern results in a nutrient profile that is low in beneficial nutrients, such as antioxidants and omega-3 polyunsaturated fatty acids (PUFAs),” agrees Professor Lisa Wood, Centre for Asthma and Respiratory Diseases, University of Newcastle, Australia.

“As these nutrients protect against inflammation, populations are thus more susceptible to the damaging effects of pollutants, which can trigger chronic diseases such as asthma. Increasing the intake of antioxidants and PUFAs may reduce inflammation, providing opportunities for asthma management.”

What should I eat to help my body fight air pollution?

VITAMIN E- an antioxidant that helps protect against injuries in organs and can be found in dark leafy greens, nuts, seeds, avocados, shellfish, fish, plant oils, broccoli, squash, avocado and fruits. Research at King’s College, London, has shown that people suffering from lung diseases have decreased levels of vitamin E.

VITAMIN C- is a powerful anti-oxidant that can be found in citrus fruits, bell peppers, broccoli, berries, tomatoes, dark leafy greens, kiwifruit, guava, peas and papaya.


Beta Carotene- an antioxidant found in carrots, spinach, lettuce, tomatoes, sweet potatoes, broccoli, cantaloupe, and winter squash.

Omega 3 (polyunsaturated fatty acids (PUFAs)- omega-3 fatty acids reduce inflammation. Flaxseed oil, fish oil, chia seeds, walnuts, fish roe (eggs), fatty fish, seafood, soybeans, and spinach. Many of which are also rich in Vitamin B6 and/or B12.

Other foods commonly recommended are spirulina, cilantro and chlorella.

Start now and boost your body’s anti-inflammatory and antioxidant capacity!

Sources:

DSM – Talking Nutrition